摘要
目的 探讨基于时机理论的家庭护理对中老年急性心肌梗死患者急诊PCI术后依从性及负性情绪的影响。方法研究对象选取院2019年6月-2021年6月间本院收治的老年急性心肌梗死PCI术后患者122例。采用随机数字法,将其分对照组与试验组,各61例。对照组采用常规护理模式,试验组采用基于时机理论的家庭护理模式。比较两组患者干预前后的依从性、焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS);比较两组患者再入院率及主要心脏不良事件(MACE)发生率。结果 干预后,试验组患者在自我保健、规律用药、运动康复、健康饮食方面的依从率,均显著高于对照组,试验组患者SAS、SDS评分均显著低于对照组,试验组再入院率显著低于对照组,差异均具有统计学意义(P <0.05)。结论 于时机理论的家庭护理模式,能够提高急性心肌梗死急诊PCI术后的依从性,改善负性情绪,降低再入院率。
Objective To explore the effect of home care based on timing theory on the compliance and negative emotion of middle-aged and elderly patients with acute myocardial infarction after emergency PCI.Methods 122 elderly patients with acute myocardial infarction after PCI who were admitted to our hospital from June 2019 to June 2021 were selectedasthe study subjects.All cases were divided into control group and experimental groupthrough random number method,with 61 casesin each group.The control group adopted the routine nursing mode,and the experimentalgroup were treated with family nursing mode based on the timing theory.The compliance,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)of the two groups before and after intervention were compared.The readmission rate and the incidence of major adverse cardiac events(MACE)were also compared between the two groups.Results After the intervention,the compliance rates of patients in the experimental group in terms of self-care,regular medication,exercise rehabilitation,and healthy diet were significantly higher than thatof the control group.The SAS and SDS scores of the test group were significantly lower than those of the control group.The readmission rate of experimental group was significantly lower than that of control group,and the differences were statistically significant(P<0.05).Conclusion The home care mode based on timing theory can improve compliance after PCIemergency operation for acute myocardial infarction,improve negative emotions,and reduce readmission rate.
作者
李静
LI Jing(Department of Cardiovascular Medicine,The People's Hospital of Changji,Xinjiang,Changji,831100,China)
出处
《新疆医学》
2023年第4期479-481,491,共4页
Xinjiang Medical Journal
关键词
时机理论
家庭护理
心肌梗死
依从性
负性情绪
Timing theory
Home care
Myocardial infarction
Compliance
Negative emotion
